Overview of Crimean Congo Hemorrhagic Fever in 🇦🇫 Afghanistan
2022-2025
CCHF in Afghanistan – Key Metrics
Overall burden of CCHF in Afghanistan 2022-2025, as of 2025, Epi-week 14
Indicator
2022
2023
2024
2025
Overall
Trends
Suspected Cases
389.0
1,243.0
1,221.0
71.0
2,924.0
Confirmed
103.0
383.0
271.0
11.0
768.0
Not confirmed
286.0
860.0
573.0
44.0
1,763.0
% Confirmed
26.5
30.8
32.1
20.0
30.3
Death
15.0
114.0
95.0
2.0
226.0
Alive
374.0
1,129.0
1,126.0
69.0
2,698.0
% Dead
3.9
9.2
7.8
2.8
7.7
Females
87.0
387.0
386.0
28.0
888.0
Males
302.0
856.0
835.0
43.0
2,036.0
% Female
22.4
31.1
31.6
39.4
30.4
Source: Afghanistan CDC.
Since 2022, a total of 2924 suspected cases suspected CCHF cases were reported in Afghanistan.
A total of 768 confirmed cases CCHF confirmed cases were reported among suspected cases, leading to a positivity rate of 26%.
Overall, 226 deaths deaths among suspected cases ( CFR 8% ). If we were to assume that these were among confirmed cases, this would be a 29% CFR .
CCHF Situation Summary in 2025: Most Recent
Indicator
1
2
3
4
5
6
7
8
9
10
11
12
13
14
16
17
Overall
Trends
Suspected Cases
7.0
3.0
8.0
3.0
2.0
-
5.0
6.0
5.0
10.0
2.0
12.0
5.0
3.0
-
-
71.0
Confirmed
-
-
-
-
-
-
-
2.0
-
3.0
-
5.0
1.0
-
-
-
11.0
Not confirmed
5.0
2.0
7.0
2.0
1.0
-
4.0
3.0
4.0
5.0
2.0
5.0
4.0
-
-
-
44.0
% Confirmed
-
-
-
-
-
-
-
40.0
-
37.5
-
50.0
20.0
-
-
-
20.0
Death
1.0
-
-
-
-
-
1.0
-
-
-
-
-
-
-
-
-
2.0
Alive
6.0
3.0
8.0
3.0
2.0
-
4.0
6.0
5.0
10.0
2.0
12.0
5.0
3.0
-
-
69.0
% Dead
14.3
-
-
-
-
-
20.0
-
-
-
-
-
-
-
-
-
2.8
Females
6.0
2.0
3.0
1.0
-
-
-
2.0
2.0
7.0
-
4.0
-
1.0
-
-
28.0
Males
1.0
1.0
5.0
2.0
2.0
-
5.0
4.0
3.0
3.0
2.0
8.0
5.0
2.0
-
-
43.0
% Female
85.7
66.7
37.5
33.3
-
-
-
33.3
40.0
70.0
-
33.3
-
33.3
-
-
39.4
Source: Afghanistan CDC.
CCHF Situation Summary in 2022-2025: Monthly Summary
Indicator
Jan
Feb
Mar
Apr
Overall
Trends
Suspected Cases
16.0
16.0
32.0
-
64.0
Confirmed
-
2.0
9.0
-
11.0
Not confirmed
12.0
11.0
16.0
-
39.0
% Confirmed
-
15.4
36.0
-
22.0
Death
-
1.0
-
-
1.0
Alive
16.0
15.0
32.0
-
63.0
% Dead
-
6.2
-
-
1.6
Females
6.0
4.0
12.0
-
22.0
Males
10.0
12.0
20.0
-
42.0
% Female
37.5
25.0
37.5
-
34.4
Source: Afghanistan CDC.
Indicator
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Overall
Trends
Suspected Cases
26.0
21.0
17.0
44.0
80.0
282.0
301.0
170.0
160.0
59.0
31.0
18.5
1,209.5
Confirmed
-
1.0
1.0
4.0
15.0
102.0
81.0
36.0
11.0
11.0
6.0
1.5
269.5
Not confirmed
18.0
16.0
12.0
23.0
62.0
131.0
73.0
79.0
87.0
39.0
20.0
9.0
569.0
% Confirmed
-
5.9
7.7
14.8
19.5
43.8
52.6
31.3
11.2
22.0
23.1
14.3
32.1
Death
-
-
1.0
1.0
4.0
29.0
28.0
15.0
11.0
4.0
1.0
1.0
95.0
Alive
26.0
21.0
16.0
43.0
76.0
253.0
273.0
155.0
149.0
55.0
30.0
17.5
1,114.5
% Dead
-
-
5.9
2.3
5.0
10.3
9.3
8.8
6.9
6.8
3.2
5.4
7.9
Females
6.0
7.0
9.0
19.0
22.0
62.0
105.0
45.0
71.0
16.0
8.0
11.0
381.0
Males
20.0
14.0
8.0
25.0
58.0
220.0
196.0
125.0
89.0
43.0
23.0
7.5
828.5
% Female
23.1
33.3
52.9
43.2
27.5
22.0
34.9
26.5
44.4
27.1
25.8
59.5
31.5
Source: Afghanistan CDC.
Indicator
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Overall
Trends
Suspected Cases
2.0
4.0
2.0
52.0
194.0
296.0
295.0
147.0
123.0
86.0
30.0
12.0
1,243.0
Confirmed
-
-
-
12.0
81.0
130.0
81.0
48.0
6.0
24.0
1.0
-
383.0
Not confirmed
2.0
4.0
2.0
40.0
113.0
166.0
214.0
99.0
117.0
62.0
29.0
12.0
860.0
% Confirmed
-
-
-
23.1
41.8
43.9
27.5
32.7
4.9
27.9
3.3
-
30.8
Death
-
-
-
-
4.0
19.0
55.0
18.0
9.0
5.0
4.0
-
114.0
Alive
2.0
4.0
2.0
52.0
190.0
277.0
240.0
129.0
114.0
81.0
26.0
12.0
1,129.0
% Dead
-
-
-
-
2.1
6.4
18.6
12.2
7.3
5.8
13.3
-
9.2
Females
-
4.0
2.0
36.0
25.0
61.0
117.0
66.0
44.0
16.0
13.0
3.0
387.0
Males
2.0
-
-
16.0
169.0
235.0
178.0
81.0
79.0
70.0
17.0
9.0
856.0
% Female
-
100.0
100.0
69.2
12.9
20.6
39.7
44.9
35.8
18.6
43.3
25.0
31.1
Source: Afghanistan CDC.
Indicator
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Overall
Trends
Suspected Cases
-
-
-
12.0
51.0
52.0
114.0
86.0
30.0
27.0
12.0
5.0
389.0
Confirmed
-
-
-
4.0
5.0
25.0
18.0
34.0
10.0
7.0
-
-
103.0
Not confirmed
-
-
-
8.0
46.0
27.0
96.0
52.0
20.0
20.0
12.0
5.0
286.0
% Confirmed
-
-
-
33.3
9.8
48.1
15.8
39.5
33.3
25.9
-
-
26.5
Death
-
-
-
1.0
1.0
6.0
6.0
1.0
-
-
-
-
15.0
Alive
-
-
-
11.0
50.0
46.0
108.0
85.0
30.0
27.0
12.0
5.0
374.0
% Dead
-
-
-
8.3
2.0
11.5
5.3
1.2
-
-
-
-
3.9
Females
-
-
-
2.0
15.0
13.0
23.0
18.0
3.0
3.0
7.0
3.0
87.0
Males
-
-
-
10.0
36.0
39.0
91.0
68.0
27.0
24.0
5.0
2.0
302.0
% Female
-
-
-
16.7
29.4
25.0
20.2
20.9
10.0
11.1
58.3
60.0
22.4
Source: Afghanistan CDC.
CCHF seasonal incidence 2022-2025, as of 2025, Epi-week 14
Higher incidence of both suspected and confirmed cases reported from mid-May to end of September .
81% of all suspected cases have been reported between epi-weeks 20 and 40.
88% of all confirmed cases have been reported between epi-weeks 20 and 40.
In 2025, as of epi-week 14, 11 confirmed cases have been reported, a 450% increase compared to same period 2024.
Higher incidence of both suspected and confirmed cases reported from mid-May to end of September .
81% of all suspected cases have been reported between epi-weeks 20 and 40.
88% of all confirmed cases have been reported between epi-weeks 20 and 40.
In 2025, as of epi-week 14, 11 confirmed cases have been reported, a 450% increase compared to same period 2024.
Cases by Confirmation Status
Since 2022, a total of 2924 suspected cases suspected CCHF cases were reported in Afghanistan.
A total of 768 confirmed cases CCHF confirmed cases were reported among suspected cases, leading to a positivity rate of 26%.
Overall, 226 deaths deaths among suspected cases ( CFR 8% ). If we were to assume that these were among confirmed cases, this would be a 29% CFR .
Suspected Cases by Outcome and Epi-week
From sitrep information, it is not clear if death are reported among suspected cases or only among confirmed cases.
Among suspected cases, CFR is 8% .
If calculated only among confirmed cases, CFR would be 29% .
From sitrep information, it is not clear if death are reported among suspected cases or only among confirmed cases.
Among suspected cases, CFR is 8% .
If calculated only among confirmed cases, CFR would be 29% .
From sitrep information, it is not clear if death are reported among suspected cases or only among confirmed cases.
Among suspected cases, CFR is 8% .
If calculated only among confirmed cases, CFR would be 29% .
From sitrep information, it is not clear if death are reported among suspected cases or only among confirmed cases.
Among suspected cases, CFR is 8% .
If calculated only among confirmed cases, CFR would be 29% .
Suspected Cases by Sex and Epi-week
Overall, 70% of suspected CCHF cases are males .
As comparison, in 🇮🇶 Iraq approx. 59% of CCHF cases are males .
Higher rate in Afghanistan may be explained by socio-economic roles of males, gender-bias in access to care and services and other factors.
Overall, 70% of suspected CCHF cases are males .
As comparison, in 🇮🇶 Iraq approx. 59% of CCHF cases are males .
Higher rate in Afghanistan may be explained by socio-economic roles of males, gender-bias in access to care and services and other factors.
Overall, 70% of suspected CCHF cases are males .
As comparison, in 🇮🇶 Iraq approx. 59% of CCHF cases are males .
Higher rate in Afghanistan may be explained by socio-economic roles of males, gender-bias in access to care and services and other factors.
Overall, 70% of suspected CCHF cases are males .
As comparison, in 🇮🇶 Iraq approx. 59% of CCHF cases are males .
Higher rate in Afghanistan may be explained by socio-economic roles of males, gender-bias in access to care and services and other factors.
Suspected CCHF Cases with Samples Tested in Laboratory
Overall, 68% of suspected cases were tested.
The proportion of cases tested ranges from 88% in 2023 to 69% in 2024.
From informal reports, limited testing can be explained by lack of kit availability.
Methods for testing (PCR and/or IgM and/or IgG) is not indicated in a systematic matter. Both would be needed, especially if patients present late to health facilities.
Number of samples tested in 2022 is not reported in sitrep.
Overall, 68% of suspected cases were tested.
The proportion of cases tested ranges from 88% in 2023 to 69% in 2024.
From informal reports, limited testing can be explained by lack of kit availability.
Methods for testing (PCR and/or IgM and/or IgG) is not indicated in a systematic matter. Both would be needed, especially if patients present late to health facilities.
Number of samples tested in 2022 is not reported in sitrep.
Overall, 68% of suspected cases were tested.
The proportion of cases tested ranges from 88% in 2023 to 69% in 2024.
From informal reports, limited testing can be explained by lack of kit availability.
Methods for testing (PCR and/or IgM and/or IgG) is not indicated in a systematic matter. Both would be needed, especially if patients present late to health facilities.
Number of samples tested in 2022 is not reported in sitrep.
Suspected Cases by Laboratory Confirmation and Epi-week
Suspected Cases
94
71
️↘️ -24.5%
Death
2
2
️↔︎️ 0%
Suspected tested
63
55
️↘️ -12.7%
Confirmed
5
11
↗️ 120%
% Suspected tested
67
77
↗️ 15.6%
% Confirmed among tested
8
20
↗️ 152%
Suspected Cases
1,243
1,221
️↘️ -1.8%
Death
114
95
️↘️ -16.7%
Suspected tested
1,098
844
️↘️ -23.1%
Confirmed
383
271
️↘️ -29.2%
% Suspected tested
88
69
️↘️ -21.7%
% Confirmed among tested
35
32
️↘️ -7.9%
Suspected Cases
389
1,243
↗️ 219.5%
Death
15
114
↗️ 660%
Confirmed
103
383
↗️ 271.8%
Suspected tested
–
1,098
–
% Suspected tested
–
88
–
% Confirmed among tested
–
35
–
CCHF in Afghanistan – Yearly report
Suspected cases by Outcome
Suspected cases by confirmation status
Suspected Cases by Testing Status and Epi-week